Analyze Diet
Journal of equine veterinary science2019; 83; 102742; doi: 10.1016/j.jevs.2019.05.007

Effect of Changing Diet on Gastric Ulceration in Exercising Horses and Ponies After Cessation of Omeprazole Treatment.

Abstract: Diet is an accepted risk factor for equine squamous gastric disease (ESGD), but there is little published evidence for the benefit of dietary change (DC). This study evaluated the effect of DC with or without initial omeprazole medication. Twelve pairs of exercising horses with ESGD Grade 2/4 (EM) and 17 pairs with ESGD Grade ≥3/4 (ES), were monitored. Paired horses had similar management, feeding times, workloads, and initially feed or forage. One of each pair was randomly assigned, postgastroscopy (Scope1), to a specified restricted starch ration; the other remained on their original diet. Omeprazole (4 mg/kg per os SID) was given to all ES pairs for 4 weeks. Gastroscopies were scored, without dietary knowledge, after 4 and 10 weeks (Scopes 2 and 3). Workloads remained similar throughout. McNemar's tests identified any changes in ESGD grade. Within the EM group, DC had no additional effect. For the ES group remaining on their original diet, there was significant improvement in ESGD grade from Scopes 1 to 2 (P < .001) but a worsening between Scopes 2 and 3 (P = .005), with Scope 3 being no different from Scope 1 (P = .08) reflecting no apparent long-term medication benefit. For the DC group, there was significant improvement in ESGD grade from Scopes 1 to 2 (P < .001) and between Scopes 1 and 3 (P = .003); In addition, there was no significant difference between Scopes 2 and 3 (P = .32). Although limited by the small number of pairs evaluated, this study provides evidence that appropriate DCs can be a beneficial management strategy for ESGD.
Publication Date: 2019-05-14 PubMed ID: 31791527DOI: 10.1016/j.jevs.2019.05.007Google Scholar: Lookup
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  • Journal Article
  • Randomized Controlled Trial
  • Veterinary
  • Research Support
  • Non-U.S. Gov't

Summary

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This research study investigates the impact of diet changes on horses suffering from equine squamous gastric disease (ESGD) after cessation of medication with omeprazole. The study concluded that switching to a restricted starch ration diet can help manage this condition in more severe cases.

Methodology

  • The study involved 29 pairs of horses, divided into two groups based on the severity of their ESGD: those with grade 2/4 ESGD (EM group), and those with grade ≥3/4 ESGD (ES group).
  • All the horses had similar management routines, feeding times, workloads, and diets before the start of the study.
  • In each pair, one horse was randomly chosen to change diets postgastroscopy to a specified restricted starch ration diet while the other remained on their original diet.
  • All the horses in the ES group were medicated with omeprazole for four weeks at the start of the study.
  • Gastroscopies were conducted at the beginning, after four weeks, and after ten weeks, and changes in ESGD grades were noted.

Findings

  • For the EM group, changing diets to a restricted starch ration had no additional effect on the disease severity over the period of ten weeks.
  • In the ES group that remained on their original diet, there was a significant improvement after medication (after four weeks), but a relapse after medication was stopped. The severity of the disease ten weeks into the study was no different from the beginning, showing no long-term benefit of the medication.
  • The ES group that changed their diet showed significant improvement both after medication as well as at the end of the study. Unlike the other ES group, there was no deterioration in condition after medication was stopped, suggesting long-term benefits of dietary change.

Conclusion

  • The results indicate that in cases of severe ESGD in horses, changing diets to a restricted starch ration could be a beneficial strategy.
  • However, the results are limited by the small number of pairs evaluated in the study, indicating the need for further research into the topic.

Cite This Article

APA
Luthersson N, Bolger C, Fores P, Barfoot C, Nelson S, Parkin T, Harris P. (2019). Effect of Changing Diet on Gastric Ulceration in Exercising Horses and Ponies After Cessation of Omeprazole Treatment. J Equine Vet Sci, 83, 102742. https://doi.org/10.1016/j.jevs.2019.05.007

Publication

ISSN: 0737-0806
NlmUniqueID: 8216840
Country: United States
Language: English
Volume: 83
Pages: 102742
PII: S0737-0806(19)30062-0

Researcher Affiliations

Luthersson, Nanna
  • Hestedoktoren I/S, Kr. Eskilstrup, Denmark. Electronic address: nanna@hestedoktoren.dk.
Bolger, Coby
  • Horse1 - Equine Nutrition Centre, Leganes, Madrid, Spain.
Fores, Paloma
  • Universidad Complutense de Madrid, Spain.
Barfoot, Clare
  • MARS Horsecare UK, Milton Keynes, Slough, Berkshire, UK.
Nelson, Sarah
  • MARS Horsecare UK, Milton Keynes, Slough, Berkshire, UK.
Parkin, Timothy
  • Boyd Orr Centre for Population and Ecosystem Health, School of Veterinary Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
Harris, Pat
  • Equine Studies Group, WALTHAM Centre for Pet Nutrition, Leics, UK.

MeSH Terms

  • Animals
  • Gastroscopy / veterinary
  • Horse Diseases / diet therapy
  • Horses
  • Omeprazole
  • Physical Conditioning, Animal / adverse effects
  • Stomach Ulcer / diet therapy
  • Stomach Ulcer / veterinary

Citations

This article has been cited 3 times.
  1. Kranenburg LC, van der Poel SH, Warmelink TS, van Doorn DA, van den Boom R. Changes in Management Lead to Improvement and Healing of Equine Squamous Gastric Disease.. Animals (Basel) 2023 Apr 28;13(9).
    doi: 10.3390/ani13091498pubmed: 37174535google scholar: lookup
  2. Vokes J, Lovett A, Sykes B. Equine Gastric Ulcer Syndrome: An Update on Current Knowledge.. Animals (Basel) 2023 Apr 5;13(7).
    doi: 10.3390/ani13071261pubmed: 37048517google scholar: lookup
  3. Hewetson M, Tallon R. Equine Squamous Gastric Disease: Prevalence, Impact and Management.. Vet Med (Auckl) 2021;12:381-399.
    doi: 10.2147/VMRR.S235258pubmed: 35004264google scholar: lookup